The document summarizes the effects of COVID-19 on Puerto Rico's children and families. It discusses how the pandemic has exacerbated poverty on the island, impacting every aspect of children's lives. It outlines funding provided by the Families First and CARES Acts for Medicaid, nutrition assistance, cash payments, education and other supports. However, it notes challenges like lower payments for children and issues with Medicaid block grants. The document advocates that policy support all children equally regardless of location.

1. Policy Implications of COVID-19 on
Puerto Rico’s Children, Youth, and Families
Bruce Lesley
President, First Focus on Children
April 15, 2020

2. The Kids Aren’t All Right

3. COVID-19, Child Poverty and Political Will
“An in-depth analysis is not necessary to know that the
new COVID-19 crisis means it never rains, but it pours for
Puerto Rican children, living in poverty and having suffered
the impacts of Hurricane Maria, the financial crisis and the
earthquakes.”

4. “Every Aspect of Children’s Lives Is Being Impacted”
“Kids Are Essentially Immune”

5. “Families First Coronavirus Response Act” (H.R. 6201) and
“Coronavirus Aid, Relief, Economic Security (CARES) Act” (H.R. 748)
General
• $150 billion for states, territories, localities, and tribes
Health
• Medicaid and CHIP will cover diagnostic testing
• Temporary increase in Medicaid federal matching rate (FMAP)
• Community health centers receive $1.32 billion in emergency funds
Hunger and Nutrition
• $500 million for WIC
• $15.5 billion for SNAP (food stamps)
• $300 million for food assistance for Puerto Rico and the territories
• Emergency Pandemic Electronic Benefits Transfers for children

6. “The Department of
Agriculture only recently
approved the first state
plan to give low-income
families money in place of
the meals their children
would have received in
school for free or a
reduced price. This
provision, called Pandemic
EBT, comes to about $114
a month per child, which
is the value of a free
breakfast and lunch for
five school days a week.”

7. “Families First Coronavirus Response Act” (H.R. 6201) and
“Coronavirus Aid, Relief, Economic Security (CARES) Act” (H.R. 748)
Cash Assistance
• $1,200 for adults and $500 per child
• Problems for babies, kids 17- and 18-years-old & college students
• $1 billion for Unemployment Insurance
“The needs of a child – their shelter, their
food, their care, their educational supports,
etc. – are not 41.7 percent of the needs of an
adult.”
– “The COVID-19 Crisis Is Catastrophic for Children Too,”
Medium

8. “Families First Coronavirus Response Act” (H.R. 6201) and
“Coronavirus Aid, Relief, Economic Security (CARES) Act” (H.R. 748)
Education
• $13.5 billion for Elementary and Secondary Emergency Relief Act
• $14 billion for higher education institutions
Housing
• $3 billion for rental assistance
• Prohibits landlords from evicting or charging penalties for non-
payment for 120-day period
• $50 million for Legal Services Corporation
• $4 billion for homelessness
• $25 million for Runaway and Homeless Youth Act Programs

9. “Families First Coronavirus Response Act” (H.R. 6201) and
“Coronavirus Aid, Relief, Economic Security (CARES) Act” (H.R. 748)
Early Childhood
• $3.5 billion for Child Care Development Block Grant
• $750 million for Head Start and Early Head Start
Child Welfare
• $45 million for Title IV-B services, which can help foster parents,
kinship caregivers, and residential providers
• $45 million for violence prevention and response services
Other Notable Funding
• $5 billion for Community Development Block Grant (can be used for
child care centers, food banks, etc.)

10. UNICEF: “Children are the hidden victims of the coronavirus crisis.”

11. Every Aspect of a Child’s Life Is Being Impacted

12. Every Aspect of a Child’s Life Is
Being Impacted

13. Children in Confined Settings Are Particularly Vulnerable

14. A Child Is A Child: Puerto Rico and Medicaid Block Grants

15. First Focus on Children Testimony to House
Health Subcommittee on Medicaid Block
Grants - Feb. 29, 2016:
“The effects on Puerto Rico’s
children have been devastating.
Doctors are fleeing to the
mainland or refusing to accept
patients on Medicaid, leaving
children without access to
pediatric and preventive care.”
A Child Is a Child: Puerto Rico and Medicaid Block Grants

16. Source: https://ncdp.columbia.edu/

17. Problems with Medicaid Block Grants
• Arbitrary Caps: do not adjust for
need, such as changes in –
• population/demographic change
• natural disasters
• economic recessions
• public health crises
• medical breakthroughs/cures
• Lead to rationing of care
• Pit populations against each other

18. A Child Is a Child: Puerto Rico
and Medicaid Block Grants
Equity and fairness demands
that we treat all America
citizens fairly and equitably.

19. “The Children Aren’t All Right” by Vann Newkirk II, The Atlantic

20. www.firstfocus.net
Bruce Lesley
BruceL@firstfocus.org
202-657-0670
www.firstfocus.org
Thank You!